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Related Experiment Videos

Morning emergency operating list: effects of implementation

N B Corner1, M L Nicholson, J Doran

  • 1Department of Surgery, University Hospital, Queen's Medical Centre, Nottingham.

Annals of the Royal College of Surgeons of England
|May 1, 1993
PubMed
Summary

Implementing a morning emergency list for general surgery significantly reduced after-midnight surgical procedures. This change improved efficiency by decreasing the nighttime surgical caseload and increasing unscheduled nighttime surgeries.

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Area of Science:

  • General Surgery
  • Healthcare Management
  • Surgical Workflow Optimization

Background:

  • Emergency surgical caseloads often extend beyond standard working hours.
  • Late-night surgeries can impact resident and staff well-being and resource allocation.
  • Optimizing surgical scheduling is crucial for efficient hospital operations.

Purpose of the Study:

  • To evaluate the impact of a morning emergency list on general surgery caseload distribution.
  • To assess changes in after-midnight surgical procedures following the list's implementation.
  • To determine the effectiveness of scheduled morning emergency lists in reducing nighttime surgical workload.

Main Methods:

  • A regular morning emergency list for general surgery was introduced.

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  • Surgical caseload data, specifically procedures performed between midnight and 0800, were analyzed before and after implementation.
  • Data were compared immediately after inception and after 1 year.

    • Main Results:

    • The proportion of emergency surgical procedures performed between midnight and 0800 decreased from 32% (1989) to 11% (1991).
    • The frequency of nights with after-midnight emergency surgery dropped from 56% to 30% over the study period.
    • Following the morning list adoption, 70% of 'duty' nights had no surgery after midnight.

    Conclusions:

    • A regular morning emergency list effectively reduces the number of after-midnight general surgery procedures.
    • This scheduling change leads to a more concentrated surgical workload during daytime hours.
    • The findings support the adoption of morning emergency lists for improved surgical workflow and resource management.